Active NPI
Mitchell Hesse, PHARMD
- Pharmacist
- Moses Lake, WA
National Provider Identifier
1528666237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61071675
- Practice address
- 1005 N Stratford Rd
Moses Lake, WA 98837-3512 - Phone
- (509) 766-0168
- NPI assigned
- Oct 14, 2020
- Last updated
- Oct 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61071675 | WA | Primary |
Addresses
Primary practice location
1005 N Stratford Rd
Moses Lake, WA 98837-3512
Mailing address
760 N Central Dr Apt A205
Moses Lake, WA 98837-3096
Phone (513) 497-5054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61071675 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1528666237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 N CENTRAL DR APT A205",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988373096",
"telephone_number": "513-497-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N STRATFORD RD",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988373512",
"telephone_number": "509-766-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESSE",
"first_name": "MITCHELL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61071675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.